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[Physician workforce and population aging in Greece].

In 1996, there were 41,511 medical doctors in Greece i.e. 340 doctors per 100,000 population. Recent forecasts showed that in 2001, there would be 46,558 doctors in the country i.e. 422 doctors per 100,000 population. There is currently no numerous clauses at the start of medical training. Medical workforce growth is fueling increase in health expenditures and the underground activities of doctors. In the upcoming decades, population aging will accelerate the growth of health expenditures. All these moves will no doubt impose upon a restructuring of all the health care system.

Adolescent↗

Ovarian cancer epidemiology in Thrace, Greece.

PURPOSE OF INVESTIGATION: To report the differences in ovarian cancer prevalence between the two major ethnic groups (Christian Orthodox and Muslims) in Thrace, Greece. METHOD: We carried out a retrospective study on 57 patients, aged 16-79 years, who were treated in our clinic for ovarian cancer. RESULTS: The cumulative ovarian cancer prevalence in Thrace was 6.8/100,000 (5.5/100,000 for Christian Orthodox and 1.3/100,000 for Muslims). There were no statistically significant differences in most variables affecting the tumour itself. The statistical analysis of demographic risk factors revealed that the Christian population was more of a middle class profile, while the Muslim lifestyle sustained its cultural characteristics, a difference that could be related to the discrepancy observed in ovarian cancer prevalence among them. CONCLUSIONS: The overall ovarian cancer prevalence in Thrace is lower than that reported for most developed countries and higher than that for most Asian countries. The variance in prevalence between Christian Orthodox and Muslims could possibly be attributed to the different major parameters in lifestyles.

Adolescent↗

Prospects of medical informatics education in Greece: can we bridge the gap?

Medical Informatics education is a complex task,, since it aims in educating inhomogeneous groups of people coming from different disciplines. In Greece, recently considerable advancements in the medical informatics education field are made. These advancements aim in bridging gaps in various areas of MI users interactions. In particular, an overview of the strategy of the Greek ministry of education shall be given, some examples of MI related educational programs shall be referred to, and finally the MI educational structure used in the Aristotelian University shall be presented in detail, laying out the strategy of this University for bridging various types of gaps.

Curriculum↗

[Human pulmonary dirofilariasis: the first case observed in Greece].

We report a case of human pulmonary dirofilariasis in a 31-year-old man residing in the Aigion (Pelopennesus) Greece. The patient was hospitalized for fever of unknown cause. The chest x-ray showed a coin lesion in the left lung. Lung cancer was suspected and lobectomy was performed. Pathology reported presence of a nematode in an infarcted nodule. Its morphology enabled the diagnosis of an immature female Dirofaria repens. Twenty-two cases of human subcutaneous or subconjunctival human dirofilariasis have been reported. The present case is the first located in the lung.

Adult↗

Introduction of a clinical information system in a regional general state hospital of Athens, Greece.

The introduction of a Clinical Information System (CIS) in a healthcare organisation is a particularly complex process, requiring thorough design and the close co-operation of many key-position people within the organisation. Moreover the whole process is extremely time-consuming. This contribution presents the first phases of such an introduction in a regional state hospital in Greece. During these phases a number of preparatory actions took place in order to establish and set available in the hospital all the necessary infrastructure. Then the CIS was introduced in two pilot clinics, interconnected with the existed administrative system and customised in order to meet the needs of the various clinical departments.

Computer Communication Networks↗

Total cholesterol and HDL-cholesterol in relation to socioeconomic status in a sample of 11,645 Greek adults: the EPIC study in Greece. European Prospective Investigation into Nutrition and Cancer.

OBJECTIVE: To examine the relationship between educational level, a powerful indicator of socioeconomic status in Greece, total cholesterol and HDL-cholesterol in a large sample of Greek adults. METHODS: The study sample consisted of 11,645 subjects, 4,398 men and 7,247 women, aged 23-86 years, who voluntarily participated in the Greek component of the EPIC study during 1994-98. Educational attainment was divided into low, medium, and high. Linear regression analyses were performed, in men and women separately, using total and HDL-cholesterol as dependent variables and educational level as independent, while controlling for age. RESULTS: Total blood cholesterol values are inversely associated with educational level in both genders, a pattern contrasting with that found 20 years ago. The association is more prominent among women. HDL-cholesterol values are inversely associated with educational level in men, whereas the association is less consistent in women.

Adult↗

Differentiation in contraceptive behavior of the female population in Thrace, Greece.

OBJECTIVE: To investigate the factors influencing the contraceptive practice of the female population in the rural area of Thrace, Greece. METHODS: We conducted a retrospective sociopsychological study on representatives of the two major religious subgroups in Thrace: 127 Orthodox Christians and 120 Muslims. The women were reasonably representative in terms of age, education, marital status and professional life. Interviews covered sexual history and contraceptive use in detail. RESULTS: We observed a significant preference of Christians for condoms, and of Muslims for coitus interruptus. The use of the male condom was significantly higher in younger, compared to older, Christians (p < 0.001). Muslim women aged 30-39 years showed a significant preference for coitus interruptus and intrauterine devices, as compared with Christians. Highly educated women of both subgroups did not present statistically significant differences concerning contraception. It was found that, the more intense the sexual activity, the more common the use of the condom for Christians and the more popular the choice of interrupted intercourse for Muslims. Muslims with a permanent sexual relationship preferred interrupted intercourse, while all Muslims with multiple sexual partners used the male condom. CONCLUSIONS: There is an urgent need to promote information concerning the variety of modern contraceptive options in order to improve the prevalence of contraceptive use and reproductive health in the region of Thrace.

Adolescent↗

Cases of swollen head syndrome in broiler chickens in Greece.

From 50 commercial broiler flocks included in a study concerning respiratory disease, signs of swollen head syndrome (SHS) were shown in eight. Postmortem examination was performed in eight birds showing signs of SHS from each flock. The trachea and head from each bird were collected for laboratory investigation. An enzyme-linked immunosorbent assay (ELISA) was used for the detection of viral and avian mycoplasma antigens in the trachea, and bacteriologic examinations were performed from the infraorbital sinuses of the infected birds. According to the ELISA results, the most frequently detected antigen in the trachea was Mycoplasma synoviae (six flocks, 75%), followed by infectious bronchitis virus (IBV) (five flocks, 62.5%), avian adenovirus (four flocks, 50%), avian reovirus (three flocks, 37.5%), Mycoplasma gallisepticum (one flock, 12.5%), and Newcastle disease virus (NDV) (one flock, 12.5%). Turkey rhinotracheitis (TRT), infectious laryngotracheitis, and avian influenza viral antigens were not detected. Experimental assays for characterization of NDV and IBV isolates showed that they were strains of low virulence (evidently vaccine strains). Bacteriologic examinations from the infraorbital sinuses of the affected birds resulted in the isolation of Escherichia coli (seven cases, 87.5%) and Staphylococcus spp. (one case, 12.5%). It is evident that TRT virus did not play a causal role in SHS in commercial broiler flocks in Greece, but in this condition, other viruses (IBV, NDV), mycoplasmas, or bacteria may be involved, and environmental conditions seem to be essential to the occurrence and severity of the disease.

Animals↗

Evolution of antibiotic resistance of non-typhoidal salmonellae in Greece during 1990-97.

Susceptibility to 15 antibiotics was determined in 1548 non-typhoidal salmonella strains isolated in Greece from l990 to l997. The overall prevalence of resistance of both Salmonella enterica serotype Enteritidis and Salmonella enterica serotype Typhimurium increased during the first years of the study. A decrease was observed from 1996, especially for S. Enteritidis, which showed the highest overall antibiotic resistance. S. Typhimurium was the serotype with the highest multiresistance to antibiotics. The rest of the serotypes had very low resistance prevalence compared with both S. Enteritidis and Typhimurium serotypes.

Drug Resistance, Bacterial↗

Wastewater management in Greece: experience and lessons for developing countries.

Technologies to treat wastewater are now well established and are capable of producing almost any degree of purification. The main issue surrounding the selection of a given process lies in deciding which is the most appropriate and applicable technology for the particular social, political and economic environment. This paper concentrates on the development of the municipal wastewater treatment sector in Greece. It examines the deficiencies and problems arising from the implementation of wastewater management policies and makes a number of suggestions and recommendations. The areas considered include, among others, historical development, economic development and pollution control, key issues for wastewater treatment policies and lessons applicable to developing countries. It is hoped that this study will be a valuable source of information for countries embarking on nationwide sanitation projects.

Developing Countries↗

Onychomycosis in Northern Greece during 1994-1998.

In the 5-year period 1994-1998, 13957 patients were examined in the Mycological Laboratory of the State Hospital for Skin and Venereal Diseases, in Thessaloniki, Greece. Of the 2766 patients presenting with onychomycoses (20%), 67% were women and 33% were men. In the toenail infections, dermatophytes were most often isolated (72.3%), especially in women, followed by moulds (9.6%) and yeasts (2%); 16.1% of the infections were mixed. In the fingernail infections mostly yeasts were isolated (72%), especially in women, followed by dermatophytes (10%) and moulds (5.6%); 12.4% of the infections were mixed.

Adolescent↗

Cervical intraepithelial dysplasia (CIN 3) and history of herpes genitalis (HSV2) in women living in Attica, Greece.

This article presents a study on women living in Attica, Greece (an area of 4.5 million inhabitants) who visited the outpatient clinics of two specialized hospitals for a follow-up for cervical intraepithelial neoplasia (CIN 3). A random sample of 170 women with CIN 3 and a control group of 195 women coming from the general population were interviewed. A semi-structured designed questionnaire was used as an instrument for data collection. The aim of the study was to search for a possible correlation between CIN 3 and a past history of herpes genitalis (HSV2) of the women and/or their partners. According to the results, CIN 3 is more frequent among women between 26 and 40 years of age. The majority of the patients (70.3%) reported a past history of HSV2, but only 10.9% of the subjects in the control group had the same medical history (p = 0.000). Sixteen percent of the patients and only 5.3% of the subjects in the control group reported infection of their sexual partners with HSV2. 75 patients (44.6%) stated that they did not know if their sexual partners had a past history of HSV2, while only 27 women (13.3%) in the control group reported the same (p = 0.000). Patients reported more sexual partners than women in the control group.

Adolescent↗

Occult thyroid carcinoma. A study of 160 autopsy cases. The first report for the region of Epirus-Greece.

Thyroid glands from 160 patients, aged 11 to 95 years, without known thyroid disease, collected from medicolegal autopsies, were sectioned at 3-5 mm slices and microscopically examined for occult disease. The glands were normal in 57.9%, while nodules were observed in 16.8% and adenomas in 10.6% of the cases. Carcinomas were found in 12 cases (7.7%) and occult papillary carcinomas in 5.6%. No carcinomas were found in the thyroids of patients less than 40 years of age. There were no significant differences in frequency of occult carcinomas between female and male patients. The diameter of these tumors was less than or equal to 5 mm, with one exception, which had a diameter more than 6 mm. The aim of this article is to provide data about the frequency of occult thyroid tumors in the population of Epirus, which is a district in the north west part of Greece.

Adolescent↗

Neonatal screening for developmental dysplasia of the hip on the maternity wards in Crete, Greece. correlation to risk factors.

OBJECTIVE: To evaluate the effects of ultrasound examination of newborns in early detection and management of developmental dysplasia of the hip (DDH), and its correlation to known risk factors. The incidence of DDH in newborns throughout the general population of Crete has also been investigated. METHODS: From 1996 to 2000, 6,140 full-term newborns were examined in the Maternity Department of the University Hospital. All received standard assessments, with their medical history recorded, and a physical examination performed on the first and the fifth postpartum days. Ultrasonography of both hips using the Graf technique was performed on the 15th day after birth on both high-risk newborns and those with any clinical suspicion of DDH. Treatment was initiated according to the Graf classification. RESULTS: Ultrasound examination was performed on 220 newborns (3.58%). Ultrasound findings were positive in 65 neonates (10.83 per 1,000). Twenty-one neonates whose clinical examination was normal, but who underwent ultrasound because of the presence of risk factors had pathological findings on the hip sonography (32.30%) CONCLUSION: The incidence of DDH in Crete is estimated to be 10.83 per 1,000; higher than in the rest of Greece. Medical and family histories and clinical examination play an important role in the diagnosis of hip instability. Selective ultrasonography for all infants with risk factors, and those with clinical abnormality of the hip, is an adjunctive tool which aids early diagnosis and offers higher control in the results of treatment.

Female↗

Returning migrant characteristics and labor market demand in Greece.

Immigrants who repatriate bring with them modern work skills which many observers in labor exporting regions describe as a great contribution to the mother country. Using data from 2 samples of Greek repatriates as well as projections of industrial labor force demands in Greece for the 1980s, this article challenges this concept. The authors find that the uneven regional development and stunted industrial growth which pushed these workers abroad are also responsible for the narrowly limited employment options which they face once they repatriate. For the urban repatriate, the market is limited to unemployment, the urban informal sector and scattered jobs, while for the rural repatriate, small-scale agriculture, multiple job holdings and unemployment are the only viable options.

Demography↗

Nonparenteral transmission of viral hepatitis in Greece.

"Nonparenteral" transmission of acute viral hepatitis was implicated in 50;5 per cent of 346 patients included in this study and in 67.5 per cent of 1,235 cases reviewed for the period 169-1973. Hepatitis B surface antigen (HBs Ag) was detected in 48.3 per cent of these patients. Of 476 family contacts of HBs Ag carriers 71 per cent had HBs Ag or anti-HBs, this being true for 88.8 per cent of siblings and for 67.7 per cent of offspring. Anti-HBs was detected in 10.4 per cent to 49.3 per cent of the populations tested, its frequency correlating with that of HBs Ag and increasing with age. Significant differences in the patterns of exposure to the hepatitis Bvirus (HBV) were seen between offspring and siblings of HBs Ag carries mainly determined by the observed HBs Ag prevalence in relation to their age. It was calculated that as many as 25 per cent of all Greeks may come into familial contact with HBs Ag carriers and acquire the infection mainly by nonparenteral mechanisms. It is concluded that in Greece there is already a wide exposure to HBV before vaccination programs.

Adolescent↗

STR data for the AmpFlSTR Profiler Plus loci from Greece.

Allele frequencies for the nine STRs included in the AmpFlSTR Profiler Plus kit (D3S1358, VWA, FGA, D8S1179, D21S11, D18S51, D5S818, D13S317 and D7S820) were estimated from a sample of 143 unrelated individuals living in different regions of Greece.

Gene Frequency↗